Blackstone-Millville


Regional School District

Community, Achievement, Respect & Civility

"A District of One - 2,000 Strong!"

Health Enrollment/ Change Form

Please mail the original copy with your signature and date to:
 
Blackstone-Millville Regional High School
ATTN:  Business Office 
175 Lincoln Street
Blackstone, MA 01504
 
Don't forget to include a copy of your social security card, marriage certificate and/or birth certificate for qualifying events.